Joanne G. Service Plan Notes

Service Initiation Date: 10/16/2019

DNR ON FILE?

Last Date Reviewed: 03/02/2020

Location Notes: 

Summary:  Joanne lived alone in Houston but since beginning services with us, one of her sons and his family have moved in with her. They work outside of the home and we are there so she isn’t alone. She rotates 2 weeks at home and 2 weeks at her other son’s (Carlos) home in Crosby. Carlos and his wife work from home and they need respite in order to run their furniture re-furbishing business. We are with her 7 days a week. She is able to tell you what she needs but is very weak.

Allergies: Unknown

Stated Medical Condition

  • Amputated left toe

  • Previously amputated right toe

  • Kidney transplant

  • Diabetes regulated with insulin

  • Joanne can be temperamental. She can sometimes not be too nice to her family which makes it hard for them to care for her.

Is the client on hospice?: No

Is the client on home health?: Yes. Total Home Health

Date of Birth: 11/26/46

Height and Weight: 5’ 4” 135 lbs

Pets: Two nice dogs: Butch and Zora (Breed: Pitt Bull) at Carlos and Magda’s home. Small cat at her home.

Smoker: No

Dress Code: Blue scrubs with name tag

Is Cell Phone Use Allowed?: No

Is Sleeping Allowed?: No

Personal Care

  • See Service Plan and detailed list of ADL’s in the blue folder.

  • Medication Reminders:

    • Client takes meds three times per day from pill box.

      • 8:30 AM with breakfast

      • 1:00 PM with lunch

      • Night

  • Toileting:

    • Wears depends

  • Bathing:

    • Joanne will need bed baths as requested

  • Dressing:

    • Assistance with upper and lower body

  • Routine Skin and Hair:

    • Apply lotion to body after bath

  • Shaving and Oral Care:

    • Wears dentures. Assist with soaking and brushing.

  • Transfer:

    • Wheel chair bound.

    • Can stand assisted.

  • Walking:

    • Uses wheel chair

    • Previously used a walker before the left toe amputation.

    • Working up to walking with PT.

  • Exercising:

    • Too weak to exercise at this time.

Housekeeping and Personal Services

  • See detailed list of cleaning tasks on Page 2 and 3 of Service Plan in the blue folder.

  • Meal Preparation:

    • Family will have meals ready to be heated up for lunch.

  • Feeding:

    • Able to eat on her own.

  • Cleaning:

    • Clean up after personal care tasks.

    • Keep Joanne’s living areas clean.

  • Laundry:

  • Shopping:

  • Escort:

Likes and Dislikes

  • See Getting to Know You document in the blue folder. Please contribute regularly.

  • Likes to go outside.

  • Likes oatmeal

Notes

  • Emergency Contact Information found in the blue folder.

Updates:

  • 10/16/2019 - Client will be discharged from St. Luke’s today.

  • 10/27/2019 - Report from family that Joanne has been admitted to the hospital and they will let us know when she is released

  • 11/18/2019 - Joanne has returned home from the hospital and will resume services tomorrow.